ʻŌpū pehu? He ʻōpū paha ia! (ʻŌpū pehu) E kamaʻilio kākou e pili ana i kēia!

Ke ʻike nei ʻoe i kekahi manawa i kahi ʻā ʻē a ʻeha paha i loko o kou ʻōpū? Ke manaʻo nei anei ʻoe e puka mai ana kou ʻōpū mai kahi o kou umauma? A i ʻole ke manaʻo ʻole nei ʻoe i ka ʻōpū piha i ka wā e ʻai ai ʻoe? Malia paha ma muli kēia o kahi ʻōpū ʻōpū, ʻo ia hoʻi, he ʻōpū ʻōpū . Mai hopohopo, he ʻano kēia e hoʻopilikia ai i nā poʻe he nui a hiki ke mālama ʻia. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi.

He aha ka maʻi ʻōpū?

I ka ʻōlelo maʻalahi, he haehae liʻiliʻi ka ʻōpū ʻōpū ma ka ʻili o kou ʻōpū. Ua like ia me kahi ʻeha ma ko mākou ʻili. ʻO kēia ke kumu o ka ʻeha nui i loko o kou ʻōpū, pinepine ʻia me ka ʻā ʻana a i ʻole ka ʻā ʻana . Eia naʻe, ʻaʻole nā ​​ʻōpū ʻōpū āpau e hoʻoulu i nā hōʻailona nui, a hiki i kekahi ke noho mālie.

ʻO kēia ʻōpū ʻōpū kekahi ʻano ʻōpū e pili ana i ka māhele nui i kapa ʻia ʻo 'ka maʻi peptic ulcer'.

Pehea ka maʻamau o kēia mau ʻeha?

ʻO kaʻoiaʻiʻo, ʻoi aku ka maʻamau o kēia mau ʻōpū ma mua o kou manaʻo. ʻIke anei ʻoe i ke aha? ʻElua mau kumu nui o kēia, ʻo ia mau mea ʻelua he mea maʻamau loa i ko kākou kaiāulu. ʻO kekahi o nā lāʻau ʻeha ma luna o ke kūʻai aku a mākou e kūʻai pinepine ai mai ka hale kūʻai lāʻau. ʻO kekahi he maʻi bacteria i kapa ʻia ʻo 'H. pylori' (Helicobacter pylori) . ʻO kēia mau mea ʻelua ke kuleana no kahi kanaiwakumamāiwa pakeneka o nā ʻōpū.

He aha nā hōʻailona o ka ʻōpū ʻeha?

ʻO ka hōʻailona nui o ka ʻōpū ʻeha ka ʻōpū. ʻIke pinepine ʻia kēia ma kahi ma waena o kou iwi umauma a me kou iwi ʻaoʻao, ma ka hema iki.

Hiki ke ʻike ʻia kēia ʻeha ma nā ʻano like ʻole:

• Ua like ia me ka ʻā ʻana o ka ʻōpū , me he waikawa lā e ʻā ana i loko o ka ʻōpū .
• Me he mea lā e ʻai ana kekahi mea i kou ʻōpū .

ʻAʻole wale kēia manaʻo he manaʻo. ʻO ka mea e hana nei, ʻo ia ka hoʻonui ʻana o nā waikawa o ka ʻōpū a me nā enzymes i loko o ka ʻōpū i ka ʻeha.

Nui ka poʻe e ʻike i ka ʻōpū ʻole i ka manawa like. ʻO ia hoʻi ka manaʻo o ka piha me ka ʻeha wela i loko o ka ʻōpū. Hiki iā ʻoe ke manaʻo ua piha ʻoe i ka wā e hoʻomaka ai ʻoe e ʻai, a i ʻole e manaʻo paha ʻoe ua piha no ka manawa lōʻihi ma hope o ka ʻai ʻana.

ʻO nā hōʻailona i hōʻike ʻia e kekahi poʻe:

• ʻO ka reflux waikawa a me ka puʻuwai.
• Ka luaʻi a me ka luaʻi.
• ʻO ka pehu ʻana, ka belching, a me ka ʻeha kinoea.

Hoʻopili pinepine kēia mau hōʻailona i nā kūlana i hoʻoulu ai i kou ʻōpū ʻōpū.

Nā ʻeha leo ʻole a me nā hōʻailona weliweli

Akā, he mea kupanaha, ʻaʻole ʻike kekahi poʻe he mau ʻōpū ʻōpū ko lākou. Kāhea mākou i kēia mau 'ʻōpū leo ʻole'. ʻAʻohe ou hōʻailona iki, a laila loaʻa koke kahi pilikia koʻikoʻi, e like me ke kahe ʻana o ke koko a i ʻole ka perforation.ʻIke wale nō ʻoe i ka wā e hana ʻia ai kekahi mea e like me ia.

I nā hihia koʻikoʻi e like me kēia, e makaʻala i kēia mau hōʻailona:

• ʻIli keʻokeʻo (pallor).
• Ka poniuniu, nāwaliwali, a i ʻole ka maule ʻana.
• Inā he koko ʻeleʻele kou i loko o kou ʻōpala (e like paha kēia me ke kēpau).
• Inā like ka luaʻi me ka ʻōpala kope.
• ʻEha ʻōpū koke, koʻikoʻi, a mau loa.

He mea nui: Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e ʻike koke i ke kauka, ʻae? He mau hōʻailona paha kēia o kahi maʻi koʻikoʻi.

Pehea ke koʻikoʻi o nā pilikia i hoʻokumu ʻia e nā ʻōpū ʻōpū?

Inā ʻaʻole mālama ʻia, hiki i nā ʻōpū ʻōpū ke hana i nā pilikia koʻikoʻi.

• Nā ʻōpū koko: Hiki ke ʻoluʻolu a koʻikoʻi paha ke koko mai kahi ʻōpū. Inā hoʻomau ke koko no ka manawa lōʻihi, hiki ke ulu ka anemia . Inā nui ke koko i ka manawa hoʻokahi, hiki iā ia ke alakaʻi i ka haʻalulu a hoʻoweliweli i ke ola.
• ʻO nā ʻōpū puka: He maʻi laha ʻole kēia, akā he pilikia olakino ia! Inā ua hōʻino ʻia ka paia o ka ʻōpū a ua hana ʻia kahi lua, hiki i ka waikawa o ka ʻōpū a me nā bacteria ke kahe i waho a hana i kahi maʻi i loko o ka lua ʻōpū. Inā pālahalaha kēia maʻi i ke koko, hiki iā ia ke alakaʻi i kahi maʻi weliweli loa a hoʻoweliweli i ke ola i kapa ʻia ʻo 'sepsis' .

He aha nā kumu nui o nā ʻōpū ʻōpū?

E like me kā mākou i ʻōlelo ai ma mua, aia ʻelua mau kumu nui:

1. ʻO ka maʻi bacteria ʻo H. pylori:

He bacteria maʻamau loa ʻo H. pylori (Helicobacter pylori). Ma kahi o ka hapalua o ka heluna kanaka o ka honua he bacteria kēia i loko o ko lākou ʻōpū. No ka hapa nui o ka poʻe, ʻaʻole ia e hoʻoulu i kekahi pilikia. Akā i kekahi manawa, ulu nui kēia bacteria i loko o ka ʻōpū a hoʻomaka e ʻai i ka uhi ʻōpū. ʻO kēia ka manawa e loaʻa ai ka mumū mau , a i ka hopena e alakaʻi ai i nā ʻeha gastric.

2. Ka hoʻohana nui ʻana i nā lāʻau ʻeha (NSAID):

ʻO nā `NSAID` (Nonsteroidal anti-inflammatory drugs) he mau lāʻau hoʻomaha ʻeha hiki iā mākou ke kūʻai ma ke kūʻai aku ma ka hale kūʻai lāʻau lapaʻau. ʻO nā laʻana e like me `ibuprofen` (Ibuprofen), `naproxen` (Naproxen) a me `aspirin` (Aspirin) . Hoʻopilikia pololei kēia mau lāʻau i ka uhi o ka ʻōpū, ʻo ia hoʻi ke hoʻonāukiuki iā ia. Ke ālai nei hoʻi lākou i ka hana ʻana o kekahi mau kemika koʻikoʻi e pale a hoʻoponopono i ka uhi o ka ʻōpū.

ʻO ka maʻamau, ua hoʻolālā ʻia ko mākou ʻōpū e pale aku i kēia mau ʻeha liʻiliʻi a ho'ōla koke. Akā inā ʻoe e lawe nui i nā NSAID, hiki ʻole i ka ʻōpū ke hoʻoponopono iā ia iho. I ka pau ʻana o ka papa pale, ua emi kona hiki ke hoʻoponopono iā ia iho, a hana ʻia nā ʻeha.

ʻO nā kumu ʻē aʻe, ʻaʻole i maʻamau:

• Nā maʻi ʻē aʻe: I kekahi manawa, hiki i nā maʻi bacteria, viral, a fungal paha ke hoʻoulu i ka mumū o ka ʻōpū (erosive gastritis) a me nā ʻōpū.
• ʻO ka maʻi Zollinger-Ellison: He ʻano laha ʻole kēia. Ma kēia ʻano, hana ka ʻōpū i ka nui o ka waikawa gastric. Hoʻopau kēia waikawa keu i ka uhi ʻōpū a hoʻoulu i nā ʻeha.
• Ke kaumaha koʻikoʻi o ke kino: Ke hakakā nei kou kino e hoʻōla mai kahi maʻi a ʻeha paha e hoʻoweliweli ana i ke ola, ʻo ia hoʻi ke kaumaha nui nei, hiki ke ulu kahi 'stress ulcer'. I nā manawa e like me kēia, loli ka pH o ke kino a piʻi ka acidity o ka ʻōpū.

Ke hoʻopilikia nei ko kākou nohona i nā ʻeha ʻōpū?

ʻO nā pae kaumaha o kēlā me kēia lā a mākou e kū nei i ko mākou ola o kēlā me kēia lā, a me nā mea a mākou e ʻai ai a inu ai, ʻaʻole ia ke kumu pololei o nā ʻōpū ʻeha. ʻO ia hoʻi, ʻo ka ʻai nui ʻana a i ʻole ke kaumaha iki ʻaʻole ia e kumu i nā ʻōpū ʻeha.

Eia nō naʻe, inā loaʻa iā ʻoe kahi ʻōpū, hiki i kēia mau mea ke hoʻonui i nā hōʻailona. No ka mea, ʻo nā mea āpau e hoʻonui ai i ka waikawa o ka ʻōpū he mea ʻino ia no ka ʻōpū a e hoʻonui ia i ka ʻino.

ʻOi aku ka maikaʻi o ka makaʻala i nā mea e like me kēia:

• Puhipaka
• ʻAila
• Nā meaʻai ʻala a me ka ʻakika

Pehea ʻoe e ʻike ai inā he ʻōpū ʻeha kou?

Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mau hōʻailona a me kou mōʻaukala olakino. E hoʻāʻo lākou e ʻike i nā mea e like me ka hoʻohana mau ʻana i nā NSAID a inā paha ua loaʻa iā ʻoe kahi maʻi H. pylori ma mua. Inā he kānalua paha he maʻi ʻōpū kou, ʻo ka hana aʻe e nānā i loko o kou ʻōpū.

Nā hoʻāʻo e ʻike i nā ʻeha ʻōpū

Pono mua ke kauka e nānā no ka maʻi H. pylori, a laila e nānā i nā ʻōpū ma loko o ka ʻōpū. Aia kekahi mau ala e hana ai i kēia.

• Hoʻāʻo Endoscopy / EGD o luna:

ʻO kēia ke ʻano maʻamau a pololei loa. Pili kēia i ke kau ʻana i kahi kāmela liʻiliʻi (kahi `endoscope`) ma ka hopena o kahi ʻōmole lahilahi a palupalu ma kou waha a i lalo i kou esophagus i loko o kou ʻōpū a me ka hapa mua o kou ʻōpū liʻiliʻi (duodenum). E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻohiamoe ai ʻoe a i ʻole e poʻo māmā i ka wā o kēia kaʻina hana, no laila ʻaʻole ʻoe e ʻike i kekahi ʻeha.

ʻAe kēia kāmela i ke kauka e ʻike i loko o ka ʻōpū. Inā he ʻōpū, hiki ke ʻike ʻia. Eia kekahi, hiki ke hoʻokomo ʻia nā mea hana liʻiliʻi ma o kēia paipu a hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai ka uhi o ka ʻōpū a hoʻāʻo ʻia no H. pylori. I kekahi manawa, inā he kahe koko mai ka ʻōpū, hiki ke mālama ʻia ma laila.

• Nā hoʻokolohua ʻē aʻe:

ʻOiai ʻo ka endoscopy ke ʻano hana maikaʻi loa, i kekahi manawa hiki i kahi hoʻāʻo kiʻi e like me ka moʻo X-ray GI kiʻekiʻe ke ʻike i kahi ʻōpū ʻōpū. Eia naʻe, ʻaʻole pololei kēia e like me ka endoscopy.

Aia kekahi mau hoʻokolohua kikoʻī e nānā ai no ka maʻi H. pylori:

• Hoʻāʻo Hanu Urea: He hoʻāʻo maʻalahi loa kēia a ʻeha ʻole.
• Hoʻāʻo koko: Hoʻāʻo kēia no nā antibodies i hana ʻia i loko o ke kino e kūʻē iā H. pylori.
• Hoʻāʻo antigen ʻōpala: Hoʻāʻo ʻia kahi hāpana ʻōpala no ke alo o ka bacteria H. pylori.

Inā paha ʻoe e manaʻo he maʻi ʻōpū ia, he aha hou aʻe paha ia?

Inā ʻaʻole i loaʻa kāu mau hōʻailona i ka ʻōpū o ka ʻōpū, hiki i nā kumu ʻē aʻe ke kumu, e like me:

• ʻO ka maʻi reflux Gastroesophageal (GERD): Inā hoʻomau ka kahe ʻana o ka waikawa i loko o ka puʻu, hiki iā ia ke hana i ka ʻeha puʻuwai, ka indigestion, a me ka nausea.
• ʻO ka dyspepsia hana: He ʻōpū hoʻomau kēia me ka ʻole o kekahi kumu kino maopopo (e like me ka ʻōpū a i ʻole ka gastritis). Ua like nā hōʻailona me nā ʻōpū ʻōpū, akā ʻaʻole ia i hoʻokumu ʻia e ka waikawa, a ʻaʻohe ʻōpū i ʻike ʻia ma ka ʻili o ka ʻōpū.
• ʻO ke kanesa ʻōpū (`Stomach cancer` / `Gastric cancer`): ʻOiai he mea kakaikahi kēia, hiki i kekahi manawa ke hana i nā hōʻailona e like me nā ʻōpū ʻōpū (ʻeha ʻōpū, pohō kaumaha, nalowale o ka makemake). No laila he mea nui ka loaʻa ʻana o kahi hōʻailona kūpono.

Pehea e ho'ōla koke ai i ka ʻōpū?

ʻO ka mea maikaʻi loa, ke pau ke kumu o ka ʻeha, e hoʻomaka ana ka uhi o kou ʻōpū e ho'ōla.

E noʻonoʻo inā ʻo ke kumu o kou ʻeha ka hoʻohana mau ʻana i nā NSAID (painkillers), aia kahi manawa kūpono e ho'ōla ʻia ka ʻeha me ka ʻole o kekahi lāʻau lapaʻau kūikawā ke hoʻōki ʻoe i ka lawe ʻana i ka lāʻau.

Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi H. pylori, pono ʻoe e lawe i nā lāʻau antibiotic mai ke kauka e hoʻopau iā ia .

Eia kekahi, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe e hōʻemi i ka waikawa o ka ʻōpū a pale i ka uhi ʻōpū, kahi e kōkua ai i ka ʻeha e ho'ōla wikiwiki a maikaʻi.

He aha nā lāʻau lapaʻau no nā ʻōpū ʻōpū?

Hoʻōla pinepine nā kauka i nā ʻōpū me ka hui pū ʻana o nā lāʻau lapaʻau. ʻO kēia mau mea nā lāʻau lapaʻau e hoʻemi i ka waikawa o ka ʻōpū, uhi a pale i ka ʻōpū a hiki i ka wā e ho'ōla ai, a pepehi i nā maʻi āpau, e like me H. pylori. I ka manawa kākaʻikahi, hiki ke hana ʻia kahi hana liʻiliʻi e hoʻōki i ke kahe ʻana o ke koko a pani paha i kahi lua i loko o ka ʻōpū.

Nā lāʻau lapaʻau

ʻO nā ʻano lāʻau lapaʻau nui i hāʻawi ʻia no nā ʻeha ʻōpū:

• Nā lāʻau antibiotic: Inā loaʻa iā ʻoe kahi maʻi H. pylori a i ʻole kekahi maʻi bacteria ʻē aʻe, e kuhikuhi kāu kauka i hoʻokahi a ʻoi aku paha mau lāʻau antibiotic e pepehi i ka bacteria, maʻamau no 7 a 14 mau lā. ʻO nā lāʻau antibiotic i hoʻohana pinepine ʻia:
• ʻAmoxicillin
• ʻO Clarithromycin
• ʻO Metronidazole
• ʻO ka Tetracycline
• Nā mea pale o ka pamu proton (PPI):Hana kēia mau lāʻau lapaʻau ma ka hōʻemi nui ʻana i ka hana ʻakika o ka ʻōpū. Mālama pū lākou i ka uhi ʻōpū a hoʻolalelale i ka ho'ōla ʻana o nā ʻeha. ʻO nā PPI i kuhikuhi pinepine ʻia:
• ʻOmeprazole
• ʻO Lansoprazole
• ʻO Pantoprazole
• ʻEsomeprazole
• ʻO Rabeprazole
• ʻO Dexlansoprazole
• Nā mea pale Histamine (H2): Hoʻemi pū kēia mau lāʻau i ka hana ʻana o ka waikawa o ka ʻōpū, akā ʻaʻole ikaika e like me nā PPI. Nā laʻana:
• ʻO Famotidine
• ʻO Cimetidine
• ʻNizatidine
• Nā mea hoʻomalu cytoprotective: Hoʻopili kēia mau lāʻau i ka uhi o ka ʻōpū, e pale ana iā ia mai nā waikawa a me nā mea ʻino ʻē aʻe. Kōkua lākou i ka ho'ōla ʻana o ka ʻeha. Hāʻawi ʻia lākou e mālama a pale i nā ʻeha i hoʻokumu ʻia e ka hoʻohana ʻana iā NSAID. Nā laʻana:
• ʻO Sucralfate
• ʻO ka Misoprostol
• ʻO Bismuth subsalicylate (loaʻa i nā lāʻau lapaʻau e like me Pepto-Bismol)

Nā kaʻina hana lapaʻau

Inā loaʻa iā ʻoe kahi ʻōpū paʻakikī, ʻo ia hoʻi ke kahe koko nei a i ʻole he lua paha, pono kāu kauka e mālama pololei iā ia. Hiki ke hana pinepine ʻia kēia i ka wā o kahi endoscopy. Hiki ke mālama ʻia nā ʻōpū koko ma ke cauterizing (thermal therapy), ka hoʻokomo ʻana i ka lāʻau lapaʻau, a i ʻole ke ʻoki ʻana i ka ʻōpū. Inā he lua i loko o ka ʻōpū, pono paha i ke kauka lapaʻau ke humuhumu iā ia a hoʻoponopono paha ma kekahi ʻano ʻē aʻe.

I kekahi manawa, loaʻa i kekahi poʻe nā ʻeha ʻaʻole e ola me ka mālama ʻana a hoʻi hou mai. Hiki i kēia ke hana i ka ʻeha mau a me ka ʻeha. Hiki i kēia ʻeha ke ālai i ka puka o ka ʻōpū haʻahaʻa (gastric outlet). Inā hana ʻia kēia, pono paha ke ʻoki kino:

• Wehe i ka ʻiʻo ʻeha a wehe paha i ka puka (pyloroplasty).
• ʻOki (vagotomy) i ke aʻalolo e hoʻoulu ai i ka hana ʻana o ka waikawa ʻōpū (vagus nerve).

Pehea e hiki ai iā ʻoe ke pale i ka hoʻokumu ʻana a i ʻole ka hoʻi hou ʻana o kahi ʻōpū?

Hiki iā ʻoe ke hana i kēia mau mea e pale aku ai i nā ʻeha o ka ʻōpū:

1. E hoʻopau i ka maʻi H. pylori: ʻAʻole ʻike ka poʻe he nui he maʻi H. pylori ko lākou. Hiki iā ʻoe ke ʻike inā loaʻa iā ʻoe me kahi hoʻāʻo hanu maʻalahi a i ʻole ka hoʻāʻo ʻana i ka ʻōpala. Inā loaʻa iā ʻoe, ʻoiai inā ʻaʻohe ou hōʻailona, ​​​​ʻo ka mālama ʻana e like me ke kuhikuhi a kāu kauka hiki ke kōkua i ka pale ʻana i nā ʻeha ma ka wā e hiki mai ana.

2. E hoʻohana i nā NSAID (nā lāʻau hoʻopau ʻeha) e like me ke kuhikuhi ʻana a me ke akahele: Inā maʻa ʻoe i ka lawe ʻana i nā NSAID (e.g. ibuprofen, diclofenac, aspirin) no nā ʻehaʻeha liʻiliʻi o kēlā me kēia lā, e hōʻoia ʻaʻole ʻoe e lawe ma mua o ka nui i kuhikuhi ʻia.A e lawe wale no ka manawa pōkole loa. Inā pono ʻoe e hoʻomau i ka lawe ʻana i nā NSAID no ke kumu olakino, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka mahele haʻahaʻa loa, ke hoʻololi ʻana i kahi lāʻau lapaʻau palekana, a i ʻole ka lawe ʻana i kahi lāʻau lapaʻau ʻē aʻe, e like me ka PPI, e pale i ka uhi o kou ʻōpū.

3. E hōʻemi a hoʻōki paha i nā ʻano hana ʻino ʻē aʻe: ʻO ka puhipaka a me ka inu ʻona nui e hoʻonui i ka pilikia o nā ʻōpū ʻōpū, ʻoiai inā loaʻa iā ʻoe ka maʻi H. pylori a i ʻole e lawe ana i nā NSAID. No laila ʻoi aku ka maikaʻi o ka noho mamao aku mai kēia mau ʻano hana.

ʻEhia ka lōʻihi o ka ho'ōla ʻana o ka ʻōpū?

Inā ʻoe e lawe i kāu lāʻau lapaʻau e like me ke kauoha a pale i nā mea e hoʻonāukiuki ai i ka ʻōpū (e like me ka ʻai ʻana i ka meaʻai ʻino, ka puhipaka, a me ka inu ʻana i ka waiʻona), e ho'ōla loa kou ʻōpū i loko o kekahi mau pule (ʻo ka maʻamau he 4-8 mau pule). Hiki i kāu kauka ke paipai i kahi endoscopy ʻē aʻe a i ʻole kekahi hoʻāʻo ʻē aʻe e hōʻoia i ka ho'ōla piha ʻana o ka ʻōpū a ua hoʻopau loa ʻia ka maʻi H. pylori (inā loaʻa).

Hoʻomaikaʻi ka hapa nui o ka poʻe me ka mālama ʻana i ka wā pōkole. Eia nō naʻe, pono paha i ka poʻe me nā kūlana e hoʻomau ai ka hana ʻana o ka waikawa o ka ʻōpū, e like me ka Zollinger-Ellison syndrome, e lawe i ka lāʻau lapaʻau i ka wā lōʻihi.

He aha kāu e hana ai inā manaʻo ʻoe he maʻi ʻōpū kou?

ʻO ka mea nui loa: Inā he kānalua iki kou he maʻi ʻōpū kou, e ʻimi pono i ke kōkua lapaʻau.

Hiki paha iā ʻoe ke kāohi i nā hōʻailona no kekahi manawa me nā antacids i kūʻai ʻia ma ke kūʻai aku (e like me Digene, Gelusil). Eia naʻe, ʻaʻole lākou e ho'ōla i ka ʻōpū. Pono ʻoe e mālama i ke kumu kumu.

ʻO kahi ʻōpū i mālama ʻole ʻia, ʻoiai inā ʻaʻohe ou hōʻailona nui, hiki ke alakaʻi i nā pilikia koʻikoʻi (e like me ke kahe ʻana o ke koko a i ʻole ka perforation) i ka hala ʻana o ka manawa. Eia kekahi, e hoʻomanaʻo i ka maʻi H. pylori, kahi kumu nui o nā ʻōpū ʻōpū, e hoʻonui i ka pilikia o ka loaʻa ʻana o ka maʻi ʻōpū i ka hala ʻana o ka manawa inā waiho ʻole ʻia.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele koke i ka lumi pilikia o ka haukapila:

• ʻEha mau a hiki ʻole ke hoʻomanawanui ka ʻōpū.
• Inā ʻeleʻele ka ʻōpala (e like me ke kēpau) me ke koko, a inā he ʻulaʻula ke koko.
• Inā ʻoe e luaʻi i ke koko (e like me ke kofe lepo a i ʻole ke koko hou).
• Nā hōʻailona o ke kahe nui o ke koko (e.g., keʻokeʻo loa, ka hou nui, ka paʻakikī o ka hanu ʻana, ka maule ʻana, ka nalowale o ka ʻike).

No laila, he aha kā mākou i aʻo ai mai kēia moʻolelo? (Leka Lawe-Home)

He mea maʻamau nā ʻōpū ʻeha, akā ʻaʻole pono e lawe māmā ʻia. Hiki iā lākou ke lilo i mea weliweli inā ʻaʻole mālama pono ʻia. I kekahi manawa hiki ke loaʻa nā ʻōpū ʻeha me ka ʻole o nā hōʻailona, ​​​​no laila inā he kānalua kāu, he mea naʻauao ke ʻike i ke kauka no ka nānā ʻana.

E hoʻomanaʻo: Hiki iā ʻoe ke loaʻa ka hōʻoluʻolu me nā loli o ke ʻano olakino (e like me ka ʻai ʻana, ka haʻalele ʻana i ka puhipaka), akā ʻo ke kī, ʻo ia ka ʻimi ʻana i ke kumu kumu (e like me H. pylori, ka hoʻohana ʻana i ka NSAID) a mālama pono iā ia.

ʻO ka maʻi ʻōpū ka wā e hōʻino ai nā waikawa kūlohelohe o kou ʻōpū i ka uhi pale o kou ʻōpū. Inā ʻaʻole mālama ʻia kēia ʻano, e ʻoi aku ka ʻino. Hiki i kāu kauka ke kuhikuhi i ka lāʻau kūpono no kou ʻano a kōkua iā ʻoe e ho'ōla koke. No laila, mai makaʻu a e ʻimi koke i ke aʻo lapaʻau.

ʻO nā ʻōpū ʻeha, nā ʻōpū ʻeha, gastritis, H. pylori, NSAID, mumū ʻōpū, endoscopy